NPIMap

Organization Active NPI

Medamerica Physician Solutions PC

  • Clinic/Center
  • Walnut Creek, CA
National Provider Identifier
1487237111
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MEDAMERICA PHYSICIAN SOLUTIONS PC
Practice address
112 La Casa Via Ste 135
Walnut Creek, CA 94598-3023
Phone
(925) 471-4291
NPI assigned
Apr 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
David Andrew Birdsall, MD
Title
Coo
Phone
(510) 350-2600

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

112 La Casa Via Ste 135
Walnut Creek, CA 94598-3023

Mailing address

2100 Powell St Ste 400
Emeryville, CA 94608-1872
Phone (510) 350-2600

Other practice location 1

26732 Crown Valley Pkwy Ste 585
Mission Viejo, CA 92691-6376
Phone (909) 435-4852

Other practice location 2

11340 Mountain View Ave
Loma Linda, CA 92354-3858
Phone (909) 435-4852

Other names 1

  • Jovive Wound Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130821001035 CA Part B Supplier - Clinic/Group Practice 8729221809 Receives reassigned benefits from 36 practitioners
3 other NPIs on this enrollment
Practice locations: Loma Linda, CA; Mission Viejo, CA; Redlands, CA; Walnut Creek, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2325743Medamerica Physicians Solutions PC11340 Mountain View Ave Suite B, Loma Linda, CA 92354Certificate of waiverJun 18, 2027
05D2328131Medamerica Physician Solutions PC112 La Casa Via, Suite 135, Walnut Creek, CA 94598Certificate of waiverAug 4, 2027

National Provider Directory

National Provider Directory

Locations

16 E Fern Ave
Ste B
Redlands, CA 92373
Phone (909) 435-4852

3000 L St
Ste 200
Sacramento, CA 95816
Phone (916) 382-8890

Practitioners & affiliated clinicians

Practitioners 37

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 37

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1619740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779321600000",
    "number": "1487237111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 POWELL ST STE 400",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946081872",
            "telephone_number": "510-350-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 LA CASA VIA STE 135",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983023",
            "telephone_number": "925-471-4291"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26732 Crown Valley Pkwy Ste 585",
            "address_purpose": "LOCATION",
            "city": "Mission Viejo",
            "state": "CA",
            "postal_code": "926916376",
            "country_code": "US",
            "telephone_number": "909-435-4852",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11340 Mountain View Ave",
            "address_purpose": "LOCATION",
            "city": "Loma Linda",
            "state": "CA",
            "postal_code": "923543858",
            "country_code": "US",
            "telephone_number": "909-435-4852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEDAMERICA PHYSICIAN SOLUTIONS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-30",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A",
        "authorized_official_last_name": "BIRDSALL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "510-350-2600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jovive Wound Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jovive Wound Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.